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Call Sylvia
Israel at (415)
454-7308 before sending in payment.
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(See individual class for deposit info.)
Please sign me up for the events I have specified.
Enclosed is $ ___________________
Fees fully refundable until two weeks prior;
50% refundable thereafter; no refunds day of event.
Event 1: ________________________________________
Event 2: ________________________________________
Name:__________________________________________
Address:________________________________________
City/State/Zip:____________________________________
Phone: (h)____________________________
(w) ___________________________
E-mail: _________________________________________
Please make all checks payable to Sylvia
Israel.
Send to:
IMAGINE! Center for Creativity and
Healing
1924 Fourth Street,
San Rafael, CA 94901
Provider approved by CA Board of Reg Nurses #CEP 11733
and CA Board of Behavioral Science for MFT and LCSW,
Provider #947. (More info on training
and CEU)
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